Resubmission Officer
Job Location: United Arab Emirates
Main Responsibilities:
• Check Remittance Advice in DHPO on daily basis.
• Download the RA and upload in Mediware system and process the RA in Mediware system.
• Check insurance claim denials prepared for accuracy and justification as per agreement, prior to resubmit claim to respective insurance companies.
• Responsible for submitting details of clinical rejections to physicians in order to clinically justify and resubmit the claim.
• Evaluate the claim rejection reason and generate justification based on physician remarks.
• Ensure coverage of claims, guide concerned staff for correct usage of claim forms, and approval papers.
Qualification and Skills:
• Degree preferably in medical field.
• Minimum 4 years UAE Hospital Experience mandatory.
• General knowledge of insurance contracts, terminology, rating practices and procedures, and legal insurance contract requirements.
• Knowledge of Interpreting and applying insurance laws, policies, rules and regulations.
• Strong interpersonal and organizational skills; attention to details.
• Knowledge of computer programs and applications.